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Orthodontics

Orthodontics

Effect of heat treatment on stainless


steel orthodontic wires

Osmar Aparecido Cuoghi(a) Abstract: This study evaluated the effect of heat treatment on CrNi
Geraldo Francisco Kasbergen(b) stainless steel orthodontic archwires. Half of forty archwires of each
Paulo Henrique dos Santos(c)
Marcos Rogério de Mendonça(a) thickness – 0.014” (0.35  mm), 0.016” (0.40  mm), 0.018” (0.45  mm)
Pedro Marcelo Tondelli(d) and 0.020” (0.50 mm) (totalling 160 archwires) – were subjected to heat
treatment while the remainder were not. All of the archwires had their
individual thickness measured in the anterior and posterior regions us-

Department of Pediatric and Community
(a)

Dentistry, Faculdade de Odontologia de ing AutoCad 2000 software before and after compressive and tensile
Araçatuba, Unesp – Univ Estadual Paulista,
Araçatuba, SP, Brazil.
strength testing. The data was statistically analysed utilising multivari-
ance ANOVA at a 5% significance level. All archwires without heat

Department of Pediatric Dentistry,
(b)

Faculdade de Odontologia, Universidade treatment that were subjected to tensile strength testing presented with
de Itaúna, Itaúna, MG, Brazil. anterior opening, which was more accentuated in the 0.020” archwires.

Department of Dental Materials and
(c)
In the posterior region, the opening produced by the tensile force was
Prosthodontics, Faculdade de Odontologia
de Araçatuba, Unesp – Univ Estadual more accentuated in the archwires without heat treatment. There was
Paulista, Araçatuba, SP, Brazil. greater stability in the thermally treated archwires, especially those sub-

Faculdade de Odontologia de Araçatuba,
(d)
jected to tensile strength testing, which indicates that the heat treatment
Unesp – Univ Estadual Paulista, Araçatuba,
SP, Brazil. of orthodontic archwires establishes a favourable and indispensable con-
dition to preserve the intercanine width.

Descriptors: Orthodontic Wires; Stainless Steel; Tooth Movement.

Introduction
The effectiveness of orthodontic movement involves the adequate
interaction of factors related to the patient, mechanics, teeth and peri-
odontal supporting structures. The outcome of treatment is particularly
dependent upon the action of the orthodontic wires, according to their
structural and mechanical characteristics.1
In the traditional sequence of replacing stainless steel wires during the
levelling and alignment phases, the progressive transition from thinner to
Corresponding author: thicker wires alter the amount of force released. 2 When the wire receives
Pedro Marcelo Tondelli a tensile force before reaching its limit of proportionality, it will respond
Disciplina de Ortodontia - Faculdade de
Odontologia de Araçatuba - UNESP by returning to its original form and will therefore be in its elastic phase.
Rua José Bonifácio, 1193 After passing the elastic limit, the wire will reach the plastic phase when
Araçatuba - SP - Brazil
CEP: 16015-050 it changes its form, yet without returning to its original shape. If an ex-
E-mail: tondelli.ortodontia@hotmail.com aggerated force is applied, a permanent deflection occurs and the wire
no longer returns to its original form. This occurs because the deflection
surpasses the elastic limit of the wire. 3,4
When an orthodontic wire is deformed, several internal tensions oc-
Received for publication on Sep 16, 2010
Accepted for publication on Dec 07, 2010 cur, which means that its atoms are spatially dislocated and the inter-
atomic forces become unbalanced. This condition of instability is due to

128 Braz Oral Res. 2011 Mar-Apr;25(2):128-34


Cuoghi OA, Kasbergen GF, Santos PH, Mendonça MR, Tondelli PM

the fact that some atoms get too close to each other cal conditions. It is common in orthodontic practice
while others become too distant. The atoms tend to to use an alcohol lamp or a welding machine with
return to their original position by diffusion with a specific device for heat treatment. However, nei-
time and a consequence of this process, called stress ther of these procedures follows rigorous time and
releasing, is wire distortion.3 In order to avoid this temperature standards. Therefore, since these proce-
phenomenon, after bending, the stainless steel wire dures are routinely performed by the majority of or-
is heated to a temperature of 850°F for 3 minutes thodontists, it is important to investigate their effect
until a reddish-brown colour is obtained. 5 This pro- on the physical properties of stainless steel wires.
cedure is known as “heat treatment” and recovers The purpose of this study was to evaluate the ef-
the normal aspect of the metal microstructure.4-6 fect of heat treatment on stainless steel orthodontic
Another method of performing this treatment is archwires of different thicknesses when subjected to
passing the bent wire repeatedly through the flame compressive and tensile strength forces.
of an alcohol lamp until a reddish-brown colour is
observed in its entire extension. However, this pro- Material and methods
cedure does not follow a technical standardisation. One hundred and sixty 150-mm-long round
Clinically, when the orthodontist makes loops, chromium-nickel stainless steel orthodontic wires
bends or establishes a new arch form, the wire reach- (Morelli, Sorocaba, SP, Brazil) with thicknesses
es a high internal pressure and should be thermally of 0.014” (0.35  mm), 0.016” (0.40  mm), 0.018”
treated in order to release these tensions.7 Only (0.45 mm) and 0.020” (0.50 mm) were used. Forty
conflicting and insufficient information is available archwires of each thickness were made by a single
regarding the alterations induced by the heat treat- operator using, as reference, the OrthoForm III dia-
ment, which makes this treatment a controversial gram (3M/Unitek, St. Paul, MN, USA) (Figure 1),
choice in orthodontics. These factors, allied with and were randomly chosen to receive or not heat
the existence of only a small number of reported treatment (n  =  20 for each condition). Half of the
studies regarding this subject, were the rationale thermally and non-thermally treated archwires were
for the present study. To the best of our knowledge, subjected to a compressive strength test and half
all available studies refer to laboratorial investiga- were subjected to a tensile strength test (n = 10 for
tions and do not address this procedure under clini- each condition). The forces were applied to both

Figure 1 - Archwire with


demarcations positioned onto the
OrtoForm III Diagram – 3M/Unitek,
St. Paul, MN, USA.

Braz Oral Res. 2011 Mar-Apr;25(2):128-34 129


Effect of heat treatment on stainless steel orthodontic wires

archwire ends. (Figure 3). The machine was set at a power setting
Transverse demarcations were plotted in the an- of 3 and an electric current time of 8 seconds was
terior and posterior regions of the archwires using set for all thermally treated archwires. The remain-
a diagram traced on an A4 sheet of graph paper in ing 20 archwires of each thickness did not receive
order to analyse the occurrence of transverse altera- heat treatment.
tions in these regions. First, a horizontal line, per- All 160 archwires were scanned with a desktop
pendicular to a vertical midline, was traced at the scanner using 2400  dpi acquired resolution (HP
ends of the archwire to serve as a reference limit (A). PSC 1510 All-in-One, Hewlett Packard, Sorocaba,
Then, a new horizontal line (B) was traced parallel SP, Brazil) and measurements were carried out in
to the previous line and 20  mm above it, thus cre- the anterior and posterior regions before and after
ating a reference for demarcation of two bilateral the compressive and tensile strength tests, using Au-
points in the posterior region of the archwire and toCad 2000 software (Autodesk Inc., San Rafael,
establishing the intermolar width. The transverse CA, USA). The mechanical tests were performed in
distance demarcated at the anterior region of the a universal testing machine (model DL3000; EMIC,
archwires (C) corresponded to a mean intercanine São José dos Pinhais, PR, Brazil) with a 200 N load
width of 35 mm, which has been established by van cell and a crosshead speed of 2  cm/min. The com-
der Linden.8 A standard diagram was thus obtained pressive and tensile strength tests were standardised
for demarcation of the four points corresponding to at a distance of 40 mm due to the limitations of the
the intercanine and intermolar widths (Figure 2). testing machine during application of the compres-
Each archwire was individually superposed onto sion force. The data was statistically analysed by
the diagram in order to bilaterally demarcate the one-way multivariance ANOVA at a 5% signifi-
points corresponding to the intercanine and inter- cance level.
molar widths for subsequent measurement (Figure
2). Next, heat treatment was performed on 20 arch- Results
wires of each thickness using a welding machine 0.014” archwires
(model SMP 3000; Kernit Indústria Mecatrônica A statistically significant difference was only
Ltda., Indaiatuba, SP, Brazil; 500 W power, 4.0/2.0 found between the transverse distances in the pos-
A current, 50/60 Hz frequency) with a special device terior region, obtained before and after tensile

Figure 2 - Archwire superposed


on the diagram with demarcation
of the points in the anterior and
posterior regions.

130 Braz Oral Res. 2011 Mar-Apr;25(2):128-34


Cuoghi OA, Kasbergen GF, Santos PH, Mendonça MR, Tondelli PM

Figure 3 - Welding machine


with the special device for heat
treatment.

strength testing for both the heat-treated archwires rior region before and after the tensile strength test
(hereafter referred to as “HT archwires”) and the for both HT and WHT archwires (p = 0.0404 and
archwires without heat treatment (hereafter re- p = 0.0025, respectively).
ferred to as “WHT archwires”) (p  =  0.0241 and In the posterior region, a statistically signifi-
p = 0.0000063, respectively) (Table 1 and 2). cant difference was identified before and after the
compressive strength test for the WHT archwires
0.016” archwires (p = 0.0187), and in the same way before and after
In the posterior region, a significant difference the tensile strength test for both the HT and WHT
was identified between the transverse distances ob- archwires (p = 0.00003 and p = 0.0000001, respec-
tained before and after the compressive strength test tively (Table 1 and 2).
for the WHT archwires (p = 0.0007). A statistically
significant difference was found after the tensile Discussion
strength test for both the HT and WHT archwires One of the major requisites of orthodontic me-
(p = 0.0124 and p = 0.0000019, respectively) (Table chanics is the maintenance of dental arch dimen-
1 and 2). sions using wires during dental movement. At com-
pletion of the tooth levelling/alignment phase, which
0.018” archwires is guided by the analysis of the orthodontic diagram
In the anterior region, a significant difference and the use of different wire dimensions, a satisfac-
was established between the transverse distances tory intra- and inter-arch relationship must be ob-
obtained before and after the compressive strength served.9 Claro et al.10 suggested that the increase in
test for the HT archwires (p = 0.0003). In the poste- arch perimeter is approximately given by the addi-
rior region, there was a significant difference before tion of 0.54 times the intercanine expansion, which
and after the tensile strength test for both HT and is useful in solving crowding cases, but Rudge11 and
WHT archwires (p = 0.0475 and p = 0.0000037, re- de la Cruz et al.12 have advised that arch shape is the
spectively) (Table 1 and 2). best guidance for future stability. The use of pre-ad-
justed orthodontic accessories facilitates and simpli-
0.020” archwires fies arch contouring, but does not eliminate the need
A significant difference was found in the ante- for individualising orthodontic archwires.13

Braz Oral Res. 2011 Mar-Apr;25(2):128-34 131


Effect of heat treatment on stainless steel orthodontic wires

Table 1 - Mean values and standard deviations (SD) in mm of the transverse dimensions in the anterior and posterior region of
the 0.014”, 0.016”, 0.018” and 0.020” archwires with and without heat treatment before and after the compressive strength test.

Anterior Region Posterior Region


Archwire Thickness Heat Treatment
Before Testing (n = 10) After Testing (n = 10) Before Testing (n = 10) After Testing (n = 10)
No (n = 20) 35.00 (0.36) a
34.84 (0.34) a
59.81 (0.27) a
59.61 (0.34)a
0.014” (n = 40)
Yes (n = 20) 34.80 (0.37)a 34.77 (0.41)a 61.57 (0.91)a 61.33 (1.02)a
No (n = 20) 35.14 (0.50)a 34.96 (0.49)a 59.87 (0.18)a 59.15 (0.51)b
0.016” (n = 40)
Yes (n = 20) 35.09 (0.43)a 35.10 (0.42)a 59.85 (0.39)a 59.65 (0.36)a
No (n = 20) 35.33 (0.53) a
35.26 (0.56) a
59.64 (0.13) a
59.47 (0.31)a
0.018” (n = 40)
Yes (n = 20) 35.38 (0.20)a 34.96 (0.21)b 62.07 (1.14)a 61.70 (1.21)a
No (n = 20) 34.89 (0.21)a 34.81 (0.25)a 59.91 (0.24)a 59.52 (0.41)b
0.020” (n = 40)
Yes (n = 20) 34.94 (0.50)a 35.03 (0.48)a 62.81 (0.69)a 62.85 (0.69)a

Different letters indicate statistically significant difference (p < 0.05).

Table 2 - Mean values and standard deviations (SD) in mm of the transverse dimensions in the anterior and posterior region
of the 0.014”, 0.016”, 0.018” and 0.020” archwires with and without heat treatment before and after the tensile strength test.

Anterior Region Posterior Region


Archwire Thickness Heat Treatment
Before Testing (n = 10) After Testing (n = 10) Before Testing (n = 10) After Testing (n = 10)
No (n = 20) 35.02 (0.37)a 35.21 (0.37)a 59.63 (0.22)a 61.88 (0.83)b
0.014” (n = 40)
Yes (n = 20) 34.74 (0.49) a
34.94 (0.57) a
61.38 (0.59) a
62.09 (0.70)b
No (n = 20) 34.87 (0.53)a 35.31 (0.60)a 59.80 (0.34)a 62.75 (0.87)b
0.016” (n = 40)
Yes (n = 20) 35.04 (0.45)a 35.17 (0.45)a 60.36 (0.60)a 61.29 (0.88)b
No (n = 20) 35.03 (0.48)a 35.49 (0.54)a 59.83 (0.24)a 62.72 (0.99)b
0.018” (n = 40)
Yes (n = 20) 35.41 (0.52)a 35.45 (0.45)a 62.75 (0.98)a 63.70 (1.04)b
No (n = 20) 34.91 (0.41) a
35.69 (0.56) b
59.66 (0.34) a
65.06 (0.92)b
0.020” (n = 40)
Yes (n = 20) 35.10 (0.28)a 35.46 (0.44)b 63.10 (0.53)a 64.85 (0.68)b

Different letters indicate statistically significant difference (p < 0.05).

In the tooth leveling/alignment phase, when statistical significance.


stiffer and thicker wires are required, stainless steel All WHT archwires subjected to tensile strength
archwires are frequently used according to pre-es- testing presented with a tendency towards pro-
tablished individual diagrams. During contouring, gressive and more accentuated transverse altera-
stainless steel wires reach a high level of internal tions in the anterior region, according to the wire
tension and require heat treatment for release of this thickness. In the 0.020” WHT archwires, the in-
tension.3,7 The increased elastic strength is the most tercanine width increased significantly from 34.91
significant effect of heat treatment. An elastically to 35.69  mm, more than HT archwires which in-
stronger working appliance is more likely to return creased from 35.10 to 35.46  mm (Table 2). These
to its original shape, without suffering any perma- findings show that, when no heat treatment is per-
nent deflection.14 formed, as the wire thickness increases, then the
In the present study, all WHT archwires subject- forces that cause wire expansion may modify the
ed to compressive strength testing presented with intercanine width.
little decrease in the width in the anterior region be- In the anterior region, which is commonly re-
fore and after the mechanical test, though without ferred to in literature as responsible for most re-

132 Braz Oral Res. 2011 Mar-Apr;25(2):128-34


Cuoghi OA, Kasbergen GF, Santos PH, Mendonça MR, Tondelli PM

lapses after orthodontic treatment,15 the WHT HT performed in daily clinical practice establishes
archwires had a greater tendency to open after the a favourable and determinant condition to preserve
tensile strength test. These results establish an im- intercanine width. Several authors have expressed
portant clinical safety procedure: to perform the HT their concern with the maintenance of the interca-
on stainless steel orthodontic wires, thus preserving nine width in the post-orthodontic treatment peri-
the intercanine distance during tooth leveling and od.9,17,18
alignment. Little15 and Vanarsdall Junior16 demon- The archwires subjected to the HT and com-
strated that the main reason for the recurrence of pressive strength testing presented with a tendency
antero-inferior tooth crowding is the increase in the to reduce the posterior transverse distance though
intercanine distance during orthodontic treatment. in smaller proportions, since no significant differ-
In the posterior region, all WHT archwires pre- ences were observed in any statistical comparisons.
sented with a decrease in the transverse distance to The results demonstrate a greater shape stability of
compressive strength, which was significant for the the HT archwires when subjected to compressive
0.016” and 0.020” archwires. strength testing.
All WHT archwires presented with a significant- During the compressive and tensile strength
ly greater opening after the tensile strength test. The tests, the HT archwires demonstrated a smaller ten-
0.020” archwires exhibited an increase of approxi- dency to transverse changes in the anterior and pos-
mately 6 mm, while the other wire thicknesses pre- terior regions, when compared to WHT archwires.
sented with openings between 2 and 3  mm (Table Therefore further studies should be performed.
2). These results revealed a “difficulty” in preserv-
ing the intermolar distance when the orthodon- Conclusions
tic mechanics promotes an opening force in WHT Based on the employed methodology and the
archwires and this was shown most evidently in the obtained results, the following conclusions may be
expansion of the thicker archwire (0.020”). The ef- drawn:
fect of heat treatment is evident on HT archwires, 1. The archwires with and without heat treatment
which indicated an increase of 1.75  mm (0.020”) subjected to compressive strength testing pre-
and the other wire thicknesses presented with open- sented with minor transverse changes in the an-
ings of approximately 1 mm. terior and posterior regions.
For the tensile strength testing performed in the 2. All archwires without heat treatment subjected
anterior region of the HT archwires, slight openings to tensile strength testing presented with sig-
were observed for the 0.014”, 0.016” and 0.018” nificant openings in the posterior region. In the
archwires. However, in the 0.020” archwires, the anterior region, openings also occurred in all
transverse distance increased by 0.36  mm, that is, archwires, but they were more accentuated in the
they presented with a greater tendency than the oth- 0.020” archwires.
er wire thicknesses to an increase of the transverse 3. The archwires which experienced heat treatment
distance in the anterior region, when subjected to were more resistant to the transverse changes in
tensile strength testing. both anterior and posterior regions when sub-
The results of this study demonstrated that the jected to tension.

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